Affidavit Of Heirship Form Page 2

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AFFIDAVIT OF HEIRSHIP
KNOW ALL MEN BY THESE PRESENTS:
_______________________________________________ of lawful age, being first duly sworn, upon oath deposes and says:
That affiant was personally acquainted with the above named decedent, during his/her lifetime, having known him/her for
_________ years, and that affiant bears the following relationship to said decedent, to wit: _________________________.
Said decedent departed this life at _________________________ in ___________________ County, State of
__________________ on or about ____________________, 20_____, being __________ years old at the date of death.
Affiant further states that affiant was well acquainted with the family and near relatives of said decedent, and that the following
statements and the answers to the following questions are based upon personal knowledge of affiant and are true and correct.
1. Did the decedent leave a will? _____. If so, has the will been admitted to probate? ______. In what County and State was the will
probated? ___________________________________________. When? ____________________________________________.
2. Has an administrator or executor been appointed for the estate of decedent? ___________. If so, give the county and state in which
said administration or probate proceedings are pending: ___________________ County, State of _________________________.
Give the name and address of the administrator or executor: _______________________________________________________
________________________________________________________________________________________________________
3. Give the name and address of the surviving spouse of decedent: _____________________________________________________
________________________________________________________________________________________________________
4. Was the decedent married more than once? _______. If so, give the name of former husband or wife and state whether former
spouse is living or deceased: _________________________________________________________________________________.
5. On the blank lines below, give the names and addresses for all children of decedent who were living at the time of decedent’s death,
together with the information called for:
Name of Child
Date of Birth
Name of Spouse
Address, or if Not Living Date of Death
6. Give the names of any deceased children of decedent together with other information called for:
Name of Child
Date of Birth
Date of Death
Surviving Spouses Name and Address
7. Give the names of the children of any deceased son or daughter of the decedent:
Name of Child
Date of Birth
Parents’ Names
Address, or if Not Living Date of Death

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